Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225074933 Individual Practitioner Male Practitioner

Dr. Mark Francis Blake , MD

Plastic Surgery • Milwaukee, WI

Professional Overview & Biography Verified Profile Summary

Dr. Mark Blake, MD is a registered healthcare professional specializing in Plastic Surgery in Milwaukee, WI. Practice services are available at 6002 N PORT WASHINGTON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6002 N Port Washington Rd

Milwaukee, WI 532174902

Telephone 4149630676
Fax 4147550743

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Milwaukee, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.1 Yrs
State Avg: 23.6 Yrs
Regional Practice Density
22 Specialists

Practicing in Milwaukee, WI (98 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-14
Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License WI 51682-020

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Lucas Boehm , MD

Plastic Surgery

NPI 1104288430

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2025

Plastic Surgery (License #51682-020 in WI)

📍
Updated Practice Location December 08, 2021

Registered at 6002 N PORT WASHINGTON RD, MILWAUKEE, WI 532174902 (Tel: 4149630676)

📍
Updated Business Mailing Address December 08, 2021

Registered at 6002 N PORT WASHINGTON RD, MILWAUKEE, WI 53217 (Tel: 4149630676)

📍
Updated Practice Location June 18, 2019

Registered at 5201 N PORT WASHINGTON RD, MILWAUKEE, WI 532174902 (Tel: 4149630500)

📍
Updated Business Mailing Address June 18, 2019

Registered at 5201 N PORT WASHINGTON RD, MILWAUKEE, WI 532174902 (Tel: 2485153336)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2665 EXECUTIVE PARK DR, SUITE 1, WESTON, FL 333313652 (Tel: 8668814108)

📍
Updated Business Mailing Address July 08, 2007

Registered at 6360 MALVERN DR, TROY, MI 480982139 (Tel: 2485153336)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARK BLAKE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Plastic Surgery (License #ME95567 in FL)

🟢
Initial NPI Registration & Enumeration June 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Mark Blake. Be the first to share your experience!

Sign in to leave a review for Dr. Mark Blake

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1225074933
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2006
Last Update: February 14, 2025
Sole Proprietor: No

Mailing Address

6002 N Port Washington Rd

Milwaukee, WI 53217

Phone: 4149630676

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.